Physiotherapy Research International最新文献

{"title":"Patient Preferences for Telerehabilitation Compared to In-Person Physiotherapy: A Binary Discrete Choice Experiment.","authors":"Megan H Ross, Joshua Simmich, Thomas Magor, Trevor Russell","doi":"10.1002/pri.70042","DOIUrl":"10.1002/pri.70042","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the key factors that influence patients' preferences for telerehabilitation consultations in comparison to traditional in-person physiotherapy consultations and explore how these factors vary across different patient demographic characteristics.</p><p><strong>Methods: </strong>A binary discrete choice experiment was conducted with 152 participants who had participated in physiotherapy. The primary outcome measures were the attributes related to telerehabilitation and in-person consultations, including appointment duration, cost, distance, purpose, therapist, time of day, and wait time. Participants' preferences were assessed based on their choices in the binary choice experiment.</p><p><strong>Results: </strong>The study did not identify any attributes of consultations that clearly influenced patients' preference for telerehabilitation versus in-person physiotherapy. There was a trend towards preferring telerehabilitation with decreased appointment wait times and lower monetary costs. Patient demographics revealed that individuals with a single chronic health condition were clearly less inclined towards telerehabilitation (OR = 0.5, 95% CI 0.27-0.93), as were those located in outer regional locations (OR = 0.34, 95% CI 0.12-0.99). Additionally, respondents preferring a short 5 km travel distance showed markedly lower preference for telerehabilitation (β_{Telerehab×Distance_5km} = -0.94, 95% CI -4.34 to -0.51, p < 0.001).</p><p><strong>Conclusion: </strong>To enable broader access to physiotherapy via telerehabilitation, clinicians, and policymakers should prioritize offering timely and cost-effective sessions. The results of this study can then inform the development of telerehabilitation offerings that are better matched to patient preferences.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70042"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Training in Social Control of the Brazilian Public Healthcare System in Physiotherapy Courses.","authors":"Amanda Araujo Cavalcante, Tayná Bernardino Gomes, Geraldo Eduardo Guedes de Brito, Cristiane Shinohara Moriguchi","doi":"10.1002/pri.70041","DOIUrl":"10.1002/pri.70041","url":null,"abstract":"<p><strong>Background and purpose: </strong>The education of physiotherapists is disengaged from social control, which is one of the principles of the Brazilian public healthcare system. Social control ensures the participation of the population in the planning and monitoring of the public healthcare system and depends on qualified professionals. Thus, the aim of the present study was to investigate how training in social control occurs in undergraduate physiotherapy courses at public higher education institutions in the state of São Paulo, Brazil.</p><p><strong>Methods: </strong>Five teaching staff members were interviewed and six teaching projects were analyzed from a total sample of six public higher education institutions in the state of São Paulo using a qualitative method.</p><p><strong>Results: </strong>The physiotherapy curriculum at Brazilian higher education institutions is based on the national curricular guidelines. However, these guidelines have gaps in the curricular guidance related to social control in terms of ensuring consistent training throughout the course, practical experiences, and a sufficient workload. To overcome barriers to training in social control, there is a need for the qualification of teaching staff, the adoption of skill-based education, the strengthening of social control, and a human resource policy favoring the hiring of physiotherapists in the Brazilian public healthcare system.</p><p><strong>Discussion: </strong>Training in social control in physiotherapy courses at higher education institutions remains a challenge, considering the complex skills involved and the requirement of curricular changes. The present study only analyzed public educational institutions in the state of São Paulo, Brazil.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70041"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cold Water Immersion, Heart Rate Variability and Post-Exercise Recovery: A Systematic Review.","authors":"Cristian Galvez-Rodriguez, Pedro Valenzuela-Reyes, Soledad Fuentealba-Sepúlveda, Claudio Farias-Valenzuela, Alexis Espinoza Salinas","doi":"10.1002/pri.70033","DOIUrl":"10.1002/pri.70033","url":null,"abstract":"<p><strong>Introduction: </strong>Physiological and psychological recovery, i.e., the balance between fatigue/stress and recovery and evaluated through heart rate variability (HRV), is essential for the good performance of athletes in all their activities. Cold water immersion (CWI) has been shown to reduce the negative effects of fatigue/stress by inducing physiological and biochemical changes that promote faster recovery. This study aims to analyze the scientific literature on the effects of CWI on post-exercise recovery, as measured by HRV in athletes.</p><p><strong>Methods: </strong>A systematic review of randomized clinical trials (RCTs) was conducted following PRISMA guidelines. Databases such as Scopus, Web of Science, and MEDLINE were included it. The risk of bias of each study selected was assessed using Cochrane's guidelines for RCT.</p><p><strong>Results: </strong>Twelve articles were included. All studies reported parasympathetic reactivation with CWI after physical exertion. Six studies demonstrated statistically significant results (p < 0.05) compared to a passive recovery, while eight studies reported moderate to large effect sizes.</p><p><strong>Conclusion: </strong>The results of this study indicate that CWI after exercise may have a positive acute effect on parasympathetic reactivation, as measured by HRV.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70033"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Minimal Clinically Important Difference of the 180° Turn Time During the Instrumented Timed up and Go in Unilateral Vestibulopathies.","authors":"Ann Hallemans, Hendrik Van der Boon, Luc Vereeck, Vincent Van Rompaey, Lien Van Laer","doi":"10.1002/pri.70053","DOIUrl":"10.1002/pri.70053","url":null,"abstract":"<p><strong>Background and purpose: </strong>The Timed Up and Go test (TUG) assesses dynamic balance performance. Motion sensors such as gyroscopes have enabled evaluation of the various subtasks of the TUG such as the 180° turn. As fast turning triggers the vestibular system, we hypothesize that the 180° turn is sensitive to change in individuals with unilateral vestibulopathies (UVP). Therefore, the objectives of this study were to formulate the minimal detectable change and minimal clinically important difference (MCID), both anchor- and distribution-based, for the 180° turn time in individuals with UVP.</p><p><strong>Methods: </strong>In this longitudinal prospective study, data were collected in secondary and tertiary hospitals. Participants were included up to 4 weeks after the onset of the UVP. Unilateral vestibular function loss was confirmed by the criteria of the Bárány society. At baseline and follow-up (10 weeks since onset), participants performed an instrumented version of the TUG and a tandem gait test. An anchor- and distribution-based MCID was calculated for the 180° turn time.</p><p><strong>Results: </strong>Seventy participants (55 ± 17 years, 35 female) were included. A minimal detectable change of 0.69 s (180° turn time) was calculated. The anchor-, and distribution-based MCID were 0.71 and 0.63 s for the 180° turn time, respectively.</p><p><strong>Discussion: </strong>In individuals with UVP, an MCID of 0.71 s was observed for the 180° turn time. More research is recommended to confirm our results.</p><p><strong>Trial registration: </strong>clinicaltrials.gov under ID NCT04979598.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70053"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EXPRESSION OF CONCERN: M.G. Anany, S.M. El-Kosery, H.S. El Ashmawy, D.A. Osman, \"Effect of Aerobic and Resistive Exercise on Lipid Profile and Quality of Life in Overweight Breastfeeding Women: A Randomized Controlled Trial,\" Physiotherapy Research International 29, no. 4 (2024): e2121, https://doi.org/10.1002/pri.2121.","authors":"","doi":"10.1002/pri.70043","DOIUrl":"https://doi.org/10.1002/pri.70043","url":null,"abstract":"","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70043"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing Effects of Caffeine and Total Motion Release Technique on Cognitive, Neuromuscular, and Anaerobic Function in Semi-Professional Male Sprinters: A Randomized Controlled Trial.","authors":"Parsa Safapour, Kazem Malmir, Zinat Ashnagar, Sara Fereydounnia, Koroush Djafarian, Morteza Ahmadi","doi":"10.1002/pri.70057","DOIUrl":"https://doi.org/10.1002/pri.70057","url":null,"abstract":"<p><strong>Background and purpose: </strong>As sprinting gains popularity, enhancing anaerobic capacity, neuromuscular function, and cognitive performance is crucial. This study evaluated the effects of Total Motion Release (TMR) and caffeine on these functions in male sprinters to optimize performance strategies.</p><p><strong>Methods: </strong>In this randomized controlled trial, 56 male sprinters were randomly assigned to control, caffeine, TMR, or caffeine plus TMR groups. The Stroop test, Eriksen flanker task, FMS, and Wingate test were used pre- and post-intervention, with effects analyzed via within- and between-group comparisons.</p><p><strong>Results: </strong>Flanker congruent and incongruent reaction times significantly decreased with caffeine, TMR, or the combination of both (p < 0.05), with caffeine showing the greatest effect on congruent reaction times (p < 0.05). All groups except the control improved their FMS scores, but no group was significantly superior. Peak, average, and relative peak power increased in all groups except the caffeine group (p > 0.05), with no group outperforming the others. Heart rate showed a slight increase in the group receiving both caffeine and TMR (p < 0.05).</p><p><strong>Discussion: </strong>Caffeine increases cognitive function, while TMR boosts accuracy, power, and neuromuscular function. Combined, they improve cognitive performance and reduce reaction times. TMR improves anaerobic capacity; caffeine has minimal impact. Caffeine may be better for those without sensitivity, while TMR can support neuromuscular readiness, power, and accuracy. TMR is recommended, especially for high-acceleration sports.</p><p><strong>Trial registration: </strong>The study was registered with the IRCT committee (No: IRCT20230708058720N1, March 13, 2024).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70057"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-Based Physiotherapy Programme Reduces Hospital Stay and Costs in Cardiac Surgery. A Retrospective Cohort Study.","authors":"Jorge Montero-Cámara, Francisco José Ferrer-Sargues, David Cuesta Peredo, Adrián Sarria Cabello, María José Segrera Rovira, Juan Antonio Margarit Calabuig, Noemí Valtueña-Gimeno, Juan Pardo, María Luz Sánchez-Sánchez","doi":"10.1002/pri.70032","DOIUrl":"10.1002/pri.70032","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cardiac surgery enhances cardiovascular disease (CVD) patient survival rates, and the fast-track protocol can reduce complications, hospital length of stay (HLOS) and associated costs. However, there is no evidence on the effectiveness of unsupervised physiotherapy programmes in reducing HLOS and postoperative pulmonary complications in patients undergoing fast-track surgery. The study aimed to determine if a pre-surgical respiratory programme reduces intensive care unit length of stay (ICULOS) and HLOS patients undergoing fast-track surgery, and its effects on post-operative complications and healthcare costs.</p><p><strong>Methods: </strong>This was a retrospective observational cohort study. The patients were divided into two groups: those who followed the exercise programme (pre-hab group) and those who did not (no pre-hab group). The study analysed the mean of ICULOS and HLOS for each group, recorded post-operative complications, and calculated healthcare costs using the Spanish Ministry of Health cost tables.</p><p><strong>Results: </strong>A total of 418 patients participated in the study with a mean age of 70.44 (10.87) years. The study found significant differences in HLOS (p = 0.001) and ICULOS (p = 0.003) between groups. Pre-hab HLOS was 232.8 (221.3) hours in the hospital, whereas no pre-hab LOS increased to 315.1 (277.9) hours. Pre-hab ICULOS was 82.0 (129.8) hours when No pre-hab ICULOS accounted 120.2 (190.3) hours. This reduction in hospital admissions resulted in savings of €356,107.16 in average healthcare costs for the pre-hab group. Mortality risk (p = 0.034) was also reduced in the pre-hab group (17.7% vs. 26.65% in the no pre-hab group).</p><p><strong>Discussion: </strong>An unsupervised home-based respiratory programme reduces hospital and ICU stay, healthcare costs, post-surgical pulmonary complications, and mortality risk. The clinical application of an unsupervised home-based pre-habilitation programme, focussing on ventilatory exercises and costal expansion techniques, has proven effective in enhancing patient recovery post-cardiac surgery, offering significant healthcare cost savings, and reducing the burden on hospital resources.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70032"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oxygen Consumption and Metabolic Equivalents During Physical Activities in Stroke: A Systematic Review.","authors":"Natsuki Shimizu, Masashi Kanai, Tomohiro Ota","doi":"10.1002/pri.70029","DOIUrl":"10.1002/pri.70029","url":null,"abstract":"<p><strong>Background and purpose: </strong>Patient education on physical activity (PA) requires a clear understanding of PA intensity. However, there is no organized list of PAs intensities specific to individuals with stroke. This review aimed to clarify the intensity of PAs in people with stroke and summarize the methodologies and participant characteristics in previous investigations of energy expenditure (EE) during PAs.</p><p><strong>Methods: </strong>A systematic search was conducted using PubMed, CINAHL, the Cochrane Library, and PEDro databases in October 2021, and repeated in February 2024. Reports meeting the eligibility criteria were reviewed to extract participant characteristics and summarized EE for each PA type according to gait ability. Where possible, EE during PA was integrated using a weighted mean.</p><p><strong>Results: </strong>A total of 55 eligible articles and 1719 participants were included. Twenty-one PAs were identified, most of which involved walking or exercise. Data on acute stroke were sparse, accounting for only 1.2% of all participants. PAs related to daily living were typically measured over 5-8 min, with steady-state means used for movement tasks. Among ambulatory patients, walking with maximal effort corresponded to moderate-to-vigorous PA (> 3 METs), even at low speeds. However, comfortable walking at slow speeds, sit-to-stand, and reaching while standing corresponded to light PA (1.6-2.9 METs).</p><p><strong>Discussion: </strong>EE during PA in people with stroke has been inadequately investigated, particularly for daily activities other than walking, and studies involving acute stroke remain limited. Additionally, EE during light PAs, such as reaching, sit-to-stand, wheelchair propulsion, and comfortable walking at slow speed in ambulatory stroke patients, was found to align closely with values reported in the Compendium of PAs.</p><p><strong>Trial registration: </strong>PROSPERO, CRD42022300366.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70029"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Massage Gun Versus Myofascial Release Technique for Releasing Latent Trigger Points of the Calf Muscle: A Protocol for Randomized Clinical Trial.","authors":"Md Mafrohi Sattar, Abid Hasan Khan, Md Feroz Kabir, K M Amran Hossain, Sharmila Jahan, Ehsanur Rahman, Farzana Sharmin, Md Saruar Hossain Bhuiyan, Azharul Islam, Md Kabir Hossain, Md Zahid Hossain","doi":"10.1002/pri.70055","DOIUrl":"10.1002/pri.70055","url":null,"abstract":"<p><strong>Background and purpose: </strong>Trigger points can disrupt muscle activity patterns and cause cramping, fatigue, and weakening. Massage guns and myofascial release are widely employed for such circumstances, but their isolated outcomes are unknown. This study aimed to compare the effectiveness of a massage gun versus myofascial release technique on subjective pain, pain pressure threshold and ankle ROM for 12 weeks in people with pain and latent trigger points in the calf muscles.</p><p><strong>Methods: </strong>From December 2024 to November 2025, this assessor-blinded randomized clinical trial will enroll 60 patients with latent myofascial trigger points in the calf and equally (1:1) allocate them randomly to either massage gun (Group A) or myofascial release technique (Group B) at the Outpatient Service Unit, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh. Both groups will receive 12 sessions of massage gun or myofascial release on latent trigger points, with 20 min of ice once a week for 12 weeks. The primary outcomes are subjective pain severity by the visual analog scale and pain sensitivity by pressure algometry, while the secondary outcome is ankle dorsiflexion range of motion by an inclinometer to be measured at the baseline and 12 weeks post-treatment. The ethical approval and trial registration obtained prospectively, we will adhere to the International committee on harmonization good clinical practice (ICH-GCP) by confirming confidentiality, respect, voluntary participation and withdrawal rights of participants and justice. To ensure trial safety, the manageable and fatal adverse effects will be recorded and reported.</p><p><strong>Results: </strong>Sociodemographic, clinical, and outcome characteristics will be collected at baseline after randomization. A non-experimental assessor will evaluate group treatments afterward. A data monitoring committee-appointed expert data analyst will compare and analyze the independent assessors' baseline and post-treatment outcome values.</p><p><strong>Discussion: </strong>This study will address the research gap on isolated outcomes of newly addressed widely used massage guns and conventional myofascial release techniques on reducing subjective pain, and pressure pain threshold and improving ankle ROM for patients with pain and latent trigger points at the calf muscle. This single-centre study will indicate short-term outcomes with poor external generalization, but the study will help the clinicians in evidence-based practice and guide future multicenter studies with long term evaluations with a follow-up design.</p><p><strong>Trial registration: </strong>Clinical Trial Registry of India (CTRI) (XXXXXXXXXXX) (Prospectively registered).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70055"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracic-Abdominal Rebalancing Method is Superior in Terms of Decreasing Respiratory Distress, Postoperative Pulmonary Complications and Hemodynamic Variables When Compared to Conventional Physiotherapy in Postoperative Patients of Coronary Artery Bypass Grafting Surgery: Randomized Clinical Trial.","authors":"Karolini Reis Branco, Fernanda Dos Santos Silveira, Letícia Ferronato, Simone Cristina Jabuonski, Vinícius Serra Peringer, Mariangela Pinheiro de Lima, João Paulo Heinzmann-Filho, Bruna Eibel","doi":"10.1002/pri.70050","DOIUrl":"10.1002/pri.70050","url":null,"abstract":"<p><strong>Background and purpose: </strong>TAR method recommends reorganizing ventilatory muscle synergism, reducing respiratory effort, removing secretions from the lungs and upper airways, in addition to promoting diaphragmatic juxtaposition and increasing respiratory muscle strength and adjusting muscle tone. However, there are few scientific publications on this method in cardiac patients CABG. To evaluate the effects of the TAR method on hemodynamic variables, respiratory distress and pulmonary complications in patients after CABG surgery.</p><p><strong>Methods: </strong>This is a single-blind, randomized, clinical trial. Adults (> 35 years old), hemodynamically stable, who had undergone CABG (< 24 h) and with a prescription for physiotherapy were included. Patients were randomized into two groups: IG - TAR; CG-standard physiotherapeutic approach. Interventions were carried out in two days (twice/day), totaling 04 sessions. The following parameters were evaluated pre- and post-intervention: HR, RR, SpO2, MAP, respiratory distress scale. The pulmonary complications scale was applied at the end of the interventions. The sample consisted of 58 patients, 30 in the CG and 28 in the IG.</p><p><strong>Results: </strong>There was no significant difference (p < 0.05) in sample characteristics, clinical and perioperative data between groups. There was a significant increase (p < 0.05) in RR and MAP after the intervention in CG and IG. Only in GI there was a significant reduction in the respiratory distress score (p = 0.001). Furthermore, there was a lower score (p < 0.0001) on the scale of pulmonary complications at the end of the interventions in the IG group, compared to the CG.</p><p><strong>Discussion: </strong>The TAR method reduced respiratory distress and pulmonary complications in patients after CABG surgery. Given our findings, it becomes feasible to aim for the applicability of the method in other populations, expanding it to other elective or non-elective surgical conditions, in oncology, traumatology, and neurology, making the recovery process more effective.</p><p><strong>Keywords: </strong>Physiotherapy; Cardiology; Thoracic-abdominal rebalancing.</p><p><strong>Trial registration: </strong>NTC 04631198.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70050"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}